MS. TIFARAH JACKSON (NPI# 1730709452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730709452 |
| Entity Type | Individual |
| Full Name | MS. TIFARAH JACKSON |
| Credential | LPC |
| Practice Address |
1815 Mediterranean Dr Sycamore IL 60178-3144 |
| Mailing Address |
2224 Eves Cir W Dekalb IL 60115-5813 |
| Practice Telephone | 6302973617 |
| Mailing Telephone | 7735177463 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178.015091 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1815 MEDITERRANEAN DR |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928192 | Sandra Gene Gavin | Counselor | 2535 Bethany Rd Ste 210, Sycamore, IL 60178-3126 | 2018-10-20 |
| 1750818563 | Adam Figlewicz | Counselor | 2600 Dekalb Ave Ste J, Sycamore, IL 60178-3132 | 2017-05-11 |
| 1104275676 | Jelmir Atkins | Counselor | 215 S Locust St, Sycamore, IL 60178-1850 | 2016-06-06 |
| 1750765582 | Professional Services for Anxiety-related Disorders, LLC | Counselor | 1121 Alexandria Dr, Sycamore, IL 60178-9507 | 2015-07-10 |
| 1720397102 | Diane Carole Henning | Counselor | 28077 Brickville Rd, Sycamore, IL 60178-8112 | 2010-10-01 |
| 1831372895 | Kelly Christine Bubel | Counselor | 134 W State St, Sycamore, IL 60178-1472 | 2007-12-13 |
| 1497887459 | Robin S Van | Counselor | 128 N Sacramento St, Sycamore, IL 60178-1322 | 2007-03-12 |
| 1619992328 | Renee Charlene Fischer | Counselor | 122 S Locust St Ste A, Sycamore, IL 60178-1865 | 2006-07-13 |
| 1669037933 | Nicole Lynn Myers | Counselor | 2600 Dekalb Ave, Sycamore, IL 60178-3131 | 2019-05-02 |
| 1427561299 | Wellspring Center for Counseling, LLC | Counselor | 240 Edward St, Sycamore, IL 60178-2155 | 2017-11-14 |
| Find all providers in SYCAMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.